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General NPI Number Information
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NPI Number | 1174464069
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Entity Type | Organization
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Legal Business Name | BEYOND MENTAL WELLNESS
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 3755 MAIN ST UNIT 101
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City | COLLEGE PARK
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State | GA
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Zip | 30337-3543
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Country | US
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Telephone | 678-632-5331
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Fax | 551-214-0934
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Provider Business Mailing Address
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Address Line | 390 DARIEN DR
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City | SENOIA
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State | GA
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Zip | 30276-3609
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Country | US
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Telephone | 678-632-5331
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Fax | 551-214-0934
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. SHANTE YOUNG
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Credential | DNP, FNP-C, PMHNP-BC
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Telephone | 678-357-2682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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